Jon a Long

Organization Active NPI General Practice Dentistry · Carthage, TN

NPI 1063682151 · NPPES record last updated Mar 5, 2008

Key facts

NPI
1063682151
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
7883 (TN)
Legal business name
JON A LONG
Practice address
120 Hospital Dr
Carthage, TN 37030-1017
Phone
(615) 735-0808
NPI assigned
Mar 5, 2008
Organization subpart
No

Authorized official

Name
Dr. Jon A Long, D.D.S NPI 1477674463
Title
Dentist
Phone
(615) 735-0808

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

120 Hospital Dr
Carthage, TN 37030
Phone (615) 735-0808

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 7883 TN Yes

Addresses

Primary practice location

120 Hospital Dr
Carthage, TN 37030-1017

Mailing address

120 Hospital Dr
Carthage, TN 37030-1017
Phone (615) 735-0808

Other providers in Carthage, TN

All providers in Carthage, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.